NHS leader warns up to 20 maternity units in England may close
Matthew Hopkins of the NHS Alliance says centralising childbirth services is inevitable due to doctor shortages and rising caesarean rates.

Reasons for potential closures
Smaller units delivering between 1,500 and 2,000 babies annually are becoming unsustainable because of a lack of obstetricians. A sharp rise in planned or emergency caesarean sections also contributes to the problem. Many of the facilities most at risk are located in rural or coastal areas where staffing is difficult.
Impact on patients
Mothers-to-be in affected areas will be forced to travel further distances to give birth. Matthew Hopkins stated that consolidating services is the right choice despite the political backlash it might cause. He urged ministers to show courage by backing these major changes to service locations.
Call for appraisal
The NHS Alliance director wants a thorough review of where maternity services need to be located. Hopkins argues the current configuration is not fit for purpose and difficult decisions lie ahead. Centralising care ensures mothers and babies receive safe treatment even if some units shut.
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